View Presentation Slides - PCSS-O
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Pre-induction opioid management<br />
• Recommendations are to stop short acting<br />
opioids 12-24 hrs before starting buprenorphine.<br />
• TIP-40 recommends that patients taper on<br />
methadone to 30mg per day and abstain 36<br />
hours.<br />
• If we are prescribing long acting opioids for pain,<br />
then we will taper to 90 morphine mg<br />
equivalents per day, and first convert to short<br />
acting opioids for 2-4 weeks. We have found the<br />
induction goes far smoother.
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